Case Presentation: A 57-year-old male with previous hemorrhagic stroke complicated by residual left sided deficits with vascular dementia, primary hypertension on a regimen of carvedilol 25mg twice daily, and recurrent urinary tract infections due to obstructive calculi presented with acute-onset lethargy and encephalopathy. Presenting vitals were notable for hypotension (64/53), bradycardia (43 beats per minute), […]

Case Presentation: A 63-year-old man with type 2 diabetes, a previous gunshot wound with left upper extremity contracture, and a prior stroke presented to the emergency room in July 2022 with a rash on his right hand, swelling of the distal right arm, and a few scattered spots on his abdomen and flanks. The patient […]

Case Presentation: A 60-year-old male with chronic kidney disease 3a, hypertension (HTN) and type 2 diabetes was found unresponsive at work. The patient’s home medications were carvedilol, nifedipine, spironolactone and valsartan for his resistant HTN. Initial evaluation revealed undifferentiated shock with an inappropriately low heart rate of 40 beats per minute. Labs showed potassium of […]

Case Presentation: The first patient is a 47-year-old African-American male who presented with severe hand pain and purulent wound. Initial laboratory findings revealed elevated liver enzymes, elevated inflammatory markers, and leukocytosis. The patient underwent incision and drainage of the hand wound followed by antibiotic administration. The patient then developed diffuse, pustular lesions with an umbilicated […]

Case Presentation: A 42-year-old woman with no past medical history presented to the emergency department with four days of facial swelling and progressive, painless skin lesions on her back and extremities. Six months prior to presentation, the patient reported dark patches on her bilateral lower extremities while experiencing fever and chills. A skin biopsy was […]

Case Presentation: A 78-year-old man with atrial fibrillation on amiodarone and rivaroxaban, heart failure with reduced ejection fraction (HFrEF) on metoprolol and furosemide, hypertension on amlodipine and lisinopril, type 2 diabetes on metformin, and chronic kidney disease, presented with several weeks of progressive lethargy and confusion in the setting of chronic functional and cognitive decline.He […]

Case Presentation: A 53-year-old woman with a history of systemic lupus erythematosus (SLE) not on immunosuppressive therapy presented with confusion and body rash. She was discharged 2 weeks prior, following admission for bacterial meningitis and brain abscess; her abscess was drained with negative cultures, and she was discharged with a prolonged course of ceftriaxone and […]

Case Presentation: A 91-year-old male with history of coronary artery disease & heart failure with reduced ejection fraction presented with unresponsiveness. The patient collapsed onto the floor when he came into the kitchen for dinner. His wife could not feel a pulse, so she called emergency medical services (EMS) and started CPR. When EMS arrived, […]

Case Presentation: A 41-year-old male with well-controlled stage I HIV on Biktarvy, seizure disorder, and untreated hepatitis C presented with worsening painful itchy rash for one week. The rash began perianal and spread to his trunk, extremities, face, and scalp. He reported purulent rectal drainage with painful lumps in his inguinal and cervical areas. He […]